ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
A nurse is caring for a client.
Vital Signs
0800:
Temperature 37.6° C (99.7 F) Blood pressure 108/56 mm Hg Heart rate 66/min Respiratory rate 18/min
Pulse oximetry 97% on room air 0830:
Temperature 37.5° C (99.5° F) Blood pressure 88/56 mm Hg Heart rate 104/min Respiratory rate 24/min
Pulse oximetry 93% on room air Nurses' Notes
0800:
Antibiotic administered as prescribed.
Bilateral breath sounds clear and present throughout. 0830
Client reports itching over the chest area and has urticaria over chest and trunk.
Client states tongue feels swollen
Question 1 of 5
Bilateral breath sounds with scattered wheezing upon auscultation, Select the 4 findings that require immediate follow-up.
Correct Answer: B,D,E,F
Rationale: The correct answer is B, D, E, and F. Monitoring blood pressure (
B) is crucial to assess for potential respiratory distress. Urticaria (
D) indicates a possible allergic reaction requiring immediate attention. Swollen tongue (E) can be a sign of angioedema, a severe allergic reaction affecting the airway. Bilateral breath sounds with wheezing (F) suggest respiratory compromise requiring prompt intervention. Heart rate (
A) and temperature (
C) are important but not as urgent in this scenario.
Extract:
Medical History
2 days before procedure:
Client takes 80 mg of aspirin PO daily for antiplatelet effects. Client performs moderate intensity exercise for 150 min each week.
Client reports an allergy to latex.
Nurses' Notes
Morning of procedure:
Client reports taking aspirin 80 mg PO this morning with a sip of water.
Diagnostic Results
• Hct 37% (37% to 47%)
• Hgb 12 g/dL (12 to 16 g/dL)
• WBC count 12,000/mm3 (5,000 to 10,000/mm3)
• Prothrombin time 21 seconds (11 to 12.5 seconds)
Question 2 of 5
A nurse is caring for a client who is scheduled for a surgical procedure Exhibits:Select the 4 findings that require immediate follow-up.
Correct Answer: B,C,D,E
Rationale: The correct answer is B, C, D, and E. Hct level, Prothrombin time, WBC count, and Preoperative medication are crucial findings that require immediate follow-up. Hct level assesses blood volume, Prothrombin time evaluates blood clotting ability, WBC count indicates infection risk, and Preoperative medication ensures safety during surgery. Latex allergy (choice
A) is important but not immediate. History of weekly exercise (choice F) is not urgent.
Extract:
Question 3 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with a night light. This is important for fall prevention as it helps the client see the surroundings clearly during nighttime, reducing the risk of tripping or falling. Placing a night light in the client's room promotes safety and enhances visibility, especially during sleep or when getting up at night. Elevating full-length side rails (Option
A) may restrict the client's mobility and independence, increasing the risk of falls. Placing the bedside table away from the bed (Option
B) does not directly address fall prevention. Keeping the room temperature at 18°C (Option
D) is not directly related to fall prevention.
Question 4 of 5
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: The client's belief that his needs will be met through education is the most likely factor to increase motivation. When the client perceives that the education will help address his needs, he will be more motivated to learn and engage in the self-administration process. This belief reinforces the client's understanding of the benefits of learning and empowers him to take control of his health.
Summary of other choices:
A: While the nurse explaining the need for education is important, it may not necessarily increase the client's motivation as much as the client's belief in meeting his needs through education.
C: The nurse's empathy is crucial for building rapport and trust, but it may not directly impact the client's motivation to learn.
D: Seeking family approval can influence behavior, but it may not be the most significant factor in increasing motivation compared to the client's belief in meeting his needs through education.
Question 5 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C.
A: Using grab bars when getting in and out of the bathtub enhances safety.
B: Having a fire escape plan is crucial for emergency preparedness.
C: Checking medication expiration dates ensures medication efficacy.
These choices promote home safety. Incorrect choices D and E can be dangerous. Setting the hot water heater to 140 degrees Fahrenheit can cause scalding burns. Applying tape to electrical cords is a fire hazard.